Blue Flower

Waystar for Federally Qualified Health Centers

Take a smart + simple approach to fuller reimbursement

At Waystar, we know that Federally Qualified Health Centers (FQHCs) face unique challenges, including lack of resources and funding, disparate workflows, administrative burden and more, which can inhibit the ability to get paid on time and in full. That’s why we offer technology and expertise specific to the needs of FQHCs, including solutions that can help your team:

  • Provide accurate patient estimates  
  • Automate manual processes
  • Submit all claim types, including dental and Medicare claims, through one connection
  • Gain robust reporting and data visibility
  • Consolidate workflows through one partner on a single platform
  • Manage and prevent denials proactively
  • Use a 100% paperless appeals option

Let’s connect to find out how we can transform your team’s workflows and help your FQHC get paid faster and with less manual work.

Talk to an expert

Our motto is work smarter, not harder. Waystar lets us do that.

Orange Canyon

Special features for FQHCs

Claim Management

  • Automatically submit and track all claim types while reducing AR days with intelligent-driven workflows. Claim Monitoring proactively provides actionable claim status details for faster remediation. Automated, precise remit matching and reconciliation uncover missing deposits and ERAs.

Denial + Appeal Management

  • Effectively identify and understand your denials with valuable insight into payer-specific denial trends and outcomes. Customize your approach by payer and segment the workflow to specific staff members. Automate the appeal process by auto-populating data and attachments into payer-specific forms for payer submission.

Coverage Detection

  • Discover billable insurance that might otherwise go overlooked to help your organization generate more cash flow while relieving financial burden that would have been placed on patients. Find 31% of active coverage for patients presenting as self-pay.

Medicare Enterprise

  • Automate Medicare claim management and get paid faster. Access all Medicare tools, workflows and analytics in one place—no more direct entry, manual processes or purchase of additional solutions.

Success strategies FQHCs need to know

Get the insights you need to improve performance

Your decisions are only as good as your information, but trying to track down useful data can be difficult and time-consuming. Waystar’s industry-leading analytics and business intelligence tools make it easier to access and report on critical data. With Waystar, your team can:

  • Increase workflow efficiency
  • Get visibility into commercial + Medicare claims in one place
  • Resolve issues more quickly for faster payment
  • Realize new revenue from underpaid claims

Find out how


Real-world results for FQHCs

Waystar has years of experience helping Federally Qualified Health Centers collect faster, fuller reimbursement. Click below to find out how Sterling Health reduced manual work and achieved a 2% net revenue increase with Waystar.

Read case study


increase in net revenue

Speak to a Waystar expert about your FQHC

Ready to find out how much we can achieve together on behalf of your organization? Fill out the form below and a Waystar expert will be in touch shortly. We look forward to hearing more about your needs and opportunities.